Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1881196525
Practice Locations (2)
FAIRVIEW HEALTH SERVICES
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6122737838
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034132200
Source: CMS National Downloadable File, September 2026.